| NPI | 1750700118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER FREDRICKSON President 512-993-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 53524) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2017-05-04 |